Patterns and Predictors of Restrictive Health Care Service Use by Youths with Bipolar Disorder

Author： Evans-Lacko Sara Spencer Christine Logan Joseph Riley Anne

ISSN： 0894-587X

Source： Administration and Policy in Mental Health, Vol.37, Iss.5, 2010-09, pp. : 379-387

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Abstract

Patterns of behavioral health service utilization were examined among youth diagnosed with bipolar disorder (n = 832). Youth were categorized as high, moderate, and low restrictive service users (43, 7, and 50%, respectively). Factors associated with receiving care in highly restrictive settings included: numerous co-occurring diagnoses and being enrolled in managed care. Youth with regular outpatient visits were less likely to receive care in highly restrictive settings. This analysis provides a broad and dramatic picture of the intensity of services needed by most youth with bipolar. Having regular outpatient services shows promise with regard to reducing costly care in restrictive settings.